Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 3615 | AZ |
Y | 103T00000X | Psychologist | 3615 | AZ |
NPI | 1003991092 |
---|---|
Provider Name | Dr. Mary Katherine Delaney |
First Address | Cave Creek, AZ 85331-2896 |
Second Address | Cave Creek, AZ 85331-2896 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 08/07/2007 |